For guiding us to the remedy that is homoeopathic to the case at hand not only for the purpose of cure but even for palliation, we have got to ferret out the required data from the following spheres of investigation in the particular case.
SYMPTOMATIC SPHERE- Of all the symptoms as obtained by the paediatrician from the child and his attendants and the facts observed by himself, only those will be of any value for a homeopathic prescription for the case, which are of characteristic, individualizing value on the score of Sensation, Location, Modalities and Concomitance. The data obtained in this sphere of investigation; i.e. the characteristic individualizing symptom is generally the most dependable basis for homeopathic prescription. But for this purpose a minimum of 3 such symptoms is essential. Nash compared this essential requirement with a 3-legged stool for a stable equilibrium.
ETIOLOGICAL SPHERE – The onset of the disease, particularly an acute or a semiacute one, may coincide with a number of facts or events each of which may claim to be the exciting cause of the present condition of the case. But, in any case, if we can definitely spot out the precise exciting cause of the condition, that shall always lead us a longer way towards our goal of finding the similimum. Usually the solution of spotting out the exciting cause is not so difficult, if only we can definitely relate the nature of the disease or the general symptomatology of the case with any of the coincidental exciting factors. A model e.g. will make the point clear. A 10 years old male fell ill after walking a long distance, in a dark cold rainy night. He got severely frightened while passing a cremation ground. On returning home he got high fever with restlessness and intense fear of death (pointing towards Aconite) and no other remarkable symptoms, we shall give maximum value to the fright as the exciting cause, even ignoring the exposure to the wet cold; and if the patient has no remarkable symptom except some vague hysterical symptoms like convulsion, sighing etc (Ignatia), we shall again give maximum value to the fright: if the patient with all the above mentioned symptoms of Aconite, the restlessness is found to be due to intense bodyache we shall pay maximum value to the exposure to wet cold and exertion and think of Rhus tox (which, ofcourse, has fright as the exciting cause and also fear of death). If on the other hand, the patient has no determinative symptom except the persistent fright (Opium) or vague neuralgic pain in the heart, (Aconite) we shall pay more value to the fright as the exciting cause and so on. Thus we see the etiological data are only complementary to the data obtained from the symptomatic sphere, and becomes highly useful when the latter fails to provide any dependable basis for the homoeopathic prescription
MIASMATIC SPHERE – This sphere is specially to be investigated in chronic cases with a view to trace out the activities of the particular miasms, from the most significant points in the whole history of the case (present accessory symptoms, past, history and family history) and thus ascertain the fundamental cause of the case, and the curative homoeopathic prescription has to be based in the data thus obtained. In this sort of cases indirect Isopathy (use of appropriate nosode) may be immensely helpful if we can definitely trace out the particular miasm as the fundamental cause. This sphere has to be investigated very occasionally in acute cases also in the following conditions.
1. When the remedies based on the present acute symptoms fail to cure.
2. There occur repeated relapses of the same disorder
3. Syndromes shift frequently
4. There threatens or actually supervenes any form of complication.
IATROGENIC SPHERE – In this sphere we must include the various drug diseases. Many of the syndromes are occasionally found to be too callus to our best selected remedy, even on miasmatic basis, or devoid of any determinative symptoms, or too complex
Sunday, June 7, 2009
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